Collaboration with Gastroenterology in Management of Complex Dysphagia

AbstractPurpose of ReviewTo review common patient populations who present with dysphagia to an otolaryngology office and that may benefit from co-management with a gastroenterologist. These patients include those with gastroesophageal reflux disease, head and neck cancer, allergies/atopic disease, autoimmune conditions, and a normal/straightforward workup for dysphagia.Recent FindingsThe additional diagnostic tests that can be offered by a gastroenterologist beyond an upper endoscopy include high-resolution manometry, functional luminal imaging probe, and mucosal impedance testing. Pharmacologic therapies, as well as endoscopic therapies, such as Zenker ’s per-oral endoscopic myotomy, are also examined.SummaryAn overview of the gastroenterologist ’s approach to these patients is presented as well as additional correlative conditions in the esophagus which may contribute to a patient’s dysphagia. The presented scenarios aim to provide examples of how multidisciplinary collaboration between otolaryngologists and gastroenterologists can hel p improve care for the complex patient with dysphagia.
Source: Current Otorhinolaryngology Reports - Category: ENT & OMF Source Type: research